Chronic active hepatitis in the type i polyglandular autoimmune syndrome

Theresa M. Michele, Jacqueline Fleckenstein, Anita R. Sgrignoli, Paul J. Thuluvath

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

Type I polyglandular autoimmune syndrome is characterized by the triad of hypoparathyroidism, Addison's disease and chronic mucocutaneous candidiasis. Chronic active hepatitis has been associated with this syndrome but its incidence and severity have not been well documented. We describe a sibship of two patients with type I polyglandular autoimmune syndrome who presented with autoimmune chronic active hepatitis. The first patient presented to us with advanced disease and died despite an emergent liver transplant, while the second patient responded to steroids. Autoimmune chronic active hepatitis, a major cause of mortality in this syndrome, can present without symptoms or physical signs of liver disease. We suggest periodic screening of liver enzymes in subjects with this syndrome.

Original languageEnglish
Pages (from-to)128-131
Number of pages4
JournalPostgraduate Medical Journal
Volume70
Issue number820
DOIs
StatePublished - Jan 1 1994
Externally publishedYes

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